Individual
DR. AFOMA PHOEBE EZIDINMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5605 E ROCKTON RD, NORTHPOINTE CLINIC, ROSCOE, IL 61073-7601
(815) 525-4500
(815) 525-4505
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036122956
IL
207RC0000X
Cardiovascular Disease Physician
036-122956
IL
207RC0000X
Cardiovascular Disease Physician
Primary
56346-20
WI
208M00000X
Hospitalist Physician
036122956
IL
Other
Enumeration date
07/23/2010
Last updated
06/13/2024
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